Epistaxis (Raktagata pitta)

Epistaxis likewise called intense discharge or nose drain is an ailment wherein draining happens from the nasal depression of the nostril. Nose drain can happen because of an injury to the nose, because of mishap, or injury to the inside of the nose from pricking. Nosebleed or epistaxis can be ordered by their site of start as front and back.

Raktapitta is a draining issue where in the blood vitiated by Pitta streams out of the hole of the body. Raktapitta is a specific sickness brought about by Raktava srotodusti. 

This drain may happen from urdvajatrugata angas like nose, mukha, karna or from descending Adhoangas, gudmarg, mutra marg, yonimarg and so forth.

Samprapti of Nasagata Raktapitta (Epistaxis)

Pitta aggrivated by the above said nidanas and leaves its site and reaches Rakta (blood).

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Being a mala (side-effect) of Rakta, the Pitta on getting blended in with Rakta accomplishes quantitative increment.

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The Pitta thusly vitiates the Rakta. Because of the warmth of Pitta, the drava dhatu or the fluid part (liquid) of different tissues like Mamsa (muscles) Meda (fat) and so on, overflows out of their individual tissues and gets blended in with Rakta.

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Due to the pressing factor of the blood and warmth of Pitta, the dividers of the blood vessels get harmed and the blood begins coursing through different openings of the body.

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Bleeding happens through mouth, nose.

Causes of Nasagat Raktapitta

Ahara:- 

• Rasa – Excessive utilization of Diet that is Amla (harsh), Katu (sharp), Lavana (saline). 
• Guna – Intake of inordinate Vidahi (Improper assimilation prompting consuming vibe of food), Tikshna (Sharp),Ushna (Hot), Kshara (Alkalis) 

Vihara:- 

• Aatapa – Excessive openness to warm of sun 
• Vaayama – Excessive actual exercise 
• Vyavaaya – Excessive extravagance in 
• sexual exercises 
• Adhwa – Excessive strolling 

Manas:- 

• Shoka – Excessive distress 
• Kopa – Anger 

Other:- 

• Excessive of Virechana.

Symptoms of Epistaxis

There are going with side effects and signs that demonstrate a fundamental issue. These include: 

• Diligent dry nose 
• Regular nasal contaminations 
• Stodgy nose and shaded seepage 
• Itchy, watery eyes 
• Failure to smell and loss of taste 
• Troublesome breathing through the nose 
• Mouth breathing, particularly around evening time

Management of Epistaxis

• Santarpana/Apatarpana Chikitsa Mrudu, Sheetala, guna Ahara 
• Madhura, Tikta, Kashaya Rasa Ahara Pradeha, Parisheka, Avagaha, Samsparshana and so on, outside coolants
• Pratimargaharana Chikitsa 
• For Urdhvaga RaktapittaKashaaya and Tikta Rasa are criteria.
• Virechana ought to be given (us-ing Nishottara, Haritaki, Aragvadha, Indrayana etc.
• In Urdhvaga Raktapitta – Tarpana ought to be given to start with.

Preventions

• Try not to pick the nose. 
• Apply greasing up ointment, for example, petrol jam (Vaseline), inside the nose; particularly in youngsters whose nosebleeds are most usually ascribed to crusting inside the nostrils. 
• Try not to clean out the nose excessively hard, or too much of the time. 
• Utilize a humidifier at high heights or in dry environments. 
• To forestall repeating nosebleeds, keep away from effort or exhausting action for at least multi week after the past nosebleed.